Case Presentation: Anaplasmosis phagocytophilum is a rare, emerging tick borne illness transmitted by the Ixodes Scapularis tick endemic to the North Central and Northeastern United States. With an incidence of 6.1 cases per million in 2010, patients often present with nonspecific symptoms such as fever, leukopenia, thrombocytopenia, and transamintis. Cases outside of endemic areas are [...]